Active NPI
Mykale R Elbe, FNP
- Family Nurse Practitioner
- Mascoutah, IL
National Provider Identifier
1356697726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2012026932
- Practice address
- 124 W Main St
Mascoutah, IL 62258-2039 - Phone
- (618) 792-8537
- Fax
- (618) 389-6337
- NPI assigned
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2008022802 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2012026932 | MO | Primary |
Addresses
Primary practice location
124 W Main St
Mascoutah, IL 62258-2039
Mailing address
124 W Main St
Mascoutah, IL 62258-2039
Phone (618) 792-8537
Other names 1
- Mrs. Mykale R Hogan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008022802 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Practice Nursing Services Inc | Current | Accepting new patients | |
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients |
Locations
746 Urbanna Dr
Freeburg, IL 62243
Phone (618) 317-1537
124 W Main St
Mascoutah, IL 62258
Phone (618) 402-5572
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Freeburg, IL
- NPI 1861867863
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Clinic/Center
- Saint Louis, MO
- NPI 1851431738
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1356697726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 W MAIN ST",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "622582039",
"telephone_number": "618-792-8537",
"fax_number": "618-389-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 W MAIN ST",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "622582039",
"telephone_number": "618-792-8537",
"fax_number": "618-389-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELBE",
"first_name": "MYKALE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2008022802",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012026932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MYKALE",
"last_name": "HOGAN",
"middle_name": "R",
"prefix": "MRS.",
"credential": "DNP, FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mascoutah, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.